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28-011 (6) 2B-0106 � ----------®- I I 1l ot.wStiro y\,am,,,./ 28-007 v -001 / p �< 28-002 q (( 1B-004 J t j 28-00-005 28-078 28-060 IJ 1 t »- j e 1 no 28U63 l l � E 28-010 j E E aso� z6-oo9 naez�Il�i,aaoa \ j >n�. l 28-078 -072 7 il' �� frole u, I 28-033 29-152 2B�0�73 �2'r-005 a ,sv. I aoec •\noe n 28 2.Zj .._._- o `,� ,ar �, r i i i/r, •I �� i I�%-\rli it````\r,r i \/\� � \ -\'� �\ � Il,, - �/t, _\\� voc \� vl I�.oso � �� 28-042 I 28-018 a 28-014 1 21119 nsL,.,n O �x,e1e 11 I 28-043 28-044 28-066 28-077 s�es 1s 28-067 28-067 �M e zv,aa r nsm 21111 29 I I I� .x - erzse I I 1 Ll � 164 1 a� 29 n n 28-015 ,Ives 28-076 1/ — uev, 28-062 _SSry/ ,o, I 1�[, 5 1 m 1 ,n �,nzs, ❑ I 29 ,..er ' 28-018 eaa.m eaia - I 1 n e ` / UUU e - 20-096 1 28-034 /out\ �. � ! I ?a 25 111 za 16s n.os Ime - 2fi-03B . 34-002 D 4 / I 2B-017z, �_I 28-057 / 28 _30'Q � ss Q63 os_.s _ _ 28-999 v � i 1 28 1 19 �I .C 1v-032 zM �`� �1 20322 20-0oB \ 30 29 307 Y �ROaf 8 030 i zss 1� ✓ ___�� a ,\p -29 30�ou<" I .,zsrc-+mI n.se I ros X2615° 28-02G' 2§-0>6\ T } -028 p48v�309 f 111 77 It \28 c28, ee ss �005� "29�11 , 35-159 w 20 027 t�� OF i 28 Imo_ 8-069 � ,eom_ 28-056 �o4� s� 2',9 ' /'m'>a ✓ oq /28124 X28 L050I 2&-047 28-040 28-021 \ •,� " x,15 X35 035 C /,a 1 m, J28,071 X281-04 2 1J)�Dj �39 < , �2�02��� w—i 29 1 2B-0ss 35-186 zo.e 'J-0�1 f 2 u23 zeos 3 1B @\-28-058 ,182 u _ e,r•'-er.,� 0 50100 200 300 400 500 Feet Map Sheet b".bl ° O cters Northampton Assessors Mali �1\ �rJ-� �nJ�aaxa`�`��e��taePt.ne o ��ore \ Then m.ps u nat mteoded fot u m -3 d the3 c end d—pa d— O 1, Indi.iduelr requiring u,sulbanhtiveproperty bounden' h b lion must retem the unites of profesaonel Imd surveyor. Y /Q Parcel b—dunes mvlsion date.01 January 2013 + G o —.NortbafaptonMA.gav —ail:CityGIS(a�NorthamptooMA.gov G 1 _ 431 it , 5 Z _. j r t 0 t i r i �i ;W F 0 R T E MEMBER REPORT Level,Floor.Drop Beam"B" PASSED 3 piece(s) 2 x 10 Spruce-Pine-Fir No. 1 / No. 2 Overall Length: 10' 0 0 10 All locations are measured from the outside face of left support(or left cantilever end).All dimensions are horizontal.;Drawing is Conceptual Design Results Actual 0 Location Allowed Result LDF Load:combination(Pattern) System:Floor Member Reaction(lbs) 1806 @ 9'8 1/2" 2869(1.50") Passed(63%) -- 1.0 D+1.0 S(All Spans) Member Type:Drop Beam Shear(lbs) 1515 @ 8'it 1/4" 4308 Passed(35%) 1.15 1.0 D+1.0 S(All Spans) Building Use:Residential Moment(Ft-lbs) 4309 @ 4'111/4" 5919 Passed(73%) 1.15 1.0 D+1.0 S(AII Spans) Building Code:IBC Live load Defl.(in) 0.090 @ 4'11 1/4" 0.318 Passed(L/999+) -- 1.0 D+1.0 S(All Spans) Design Methodology:ASO Total toad Defl.(in) 0.170 @ 4'11 1/4" 0.477 Passed(L/674) -- 1.0 D+1.0 S(All Spans) Deflection criteria:U.(U360)and TL(U240). Bracing(W):All compression edges(top and bottom)must be braced at 9'8 1/2"o/c unless detailed otherwise.Proper attachment and positioning of lateral bracing is required to achieve member stability. Applicable calculations are based on NOS 2005 methodology. Bearing Loads to SuPPOrb Pbs) Supports Total Available Required Dead Snow Total Accessories 1-Stud wall-SPF 3.50" 3.50- 1.50" 882 988 1870 Blocking Hanger on 4 iJ4"LVL beam 3.50" Hanger' 1.50" 901 1013 1914 See note r •Blocking Panels are assumed to carry no bads applied directly above them and the full load is applied to the member being designed. •At hanger supports,the Total Bearing dimension Is equal to the width of the material that is supporting the hanger • See Connector grid below for additional information and/or requirements. Connector:Simpsm Strong—Tile Connectors ---------- --- — support Model Seat Length Top Nails Face Nails Member Nails Accessories 2-Face Mount Hanger U210-3 2.00" N/A 14-164 common 6-10d common ------- Tributary lead Snow Loads Location Width (0.90) (1.15) Comments 1-Uniform(PSF) 0 to 10' 1' 14.4 40.0 eodsting roof bed tale end 2-Uniform(PSF) 0 to 30' 4' 13.4 40.0 new roof bad-gable end 3-Uniform(PLF) 0 to 10' N/A 100.0 - dead load from wall above Weyerhaeuser Notes t�} SUSTAINABLE FORESTRY INMWI IVE Weyerhaeuser warrants that the sizing of its products will be in accordance with Weyerhaeuser product design criteria and published design values. Weyerhaeuser expressly disdalms any other warranties related to the software.Refer to current Weyerhaeuser literature fox installation details. (www.woodbywy.com)Accessories(Rim Board,BkwJdng Panels and Squash Stocks)are rat designed by this software.Use of this software is not intended to circumvent the need for a design professional as determined by the authority having jurisdiction.The designer of record,builder or framer is responsible to assure that this calculation is compatible with the overall project.Products manufactured at Weyertkieuser factiities are third-party certified to sustainable forestry standards. The product application,input design bads,dimensions and support information have been provided by Ed Rickey 1G? .2314 1051 :"l a(3f'E SFfth,7l f;Qp "rtOF Job Notes --- ------ 7 ---_ Fort e,,46.a. ,5E g z __ •�� v" , am Sa FO E - - -.-- _�,� _� � 4 Bea?" -R„ PASSED 4 piece(s) 13/4' x 20" 2.QE Microllam® LVL Overall Length:20'6" 0 0 20'6" 0 All locations are measured from the outside face of left support(or left cantilever end).All dimensions are horizontal.;Drawing is Conceptual Design Results Actual @i Location Albwed Result LDF Load:Combination(Pattern) System:Floor Member Reaction(lbs) 11951 @ 4" 11900(4.00") Passed(100%) -- 1.0 D+1.0 S(All Spans) Member Type:Flush Beam Shear(Ibs) 9836 @ 2'11/2" 30590 Passed(32%) 1.15 1.0 D+1.0 S(All Spans) Building Use:Residential Moment(Ft-Ibs) 60242 @ T7 3/8" 108474 Passed(56%) 1.15 1.0 D+1.0 S(All Spans) Building Code:IBC Live Load Defl.(in) 0.303 @ 10'2 15/16" 0.499 Passed(L/790) -- 1.0 D+1.0 S(All Spans) j Design Methodology:ASD Total Load Defl.(in) 0.508 @ 10'2 13/16" 0.998 1 Passed(L/471) - 1.0 D+1.0 S(All Spans) Deflection criteria:LL(U480)and TL(1!240). •Bracing(W):All compression edges(top and bottom)must be traced at 12'5 5/16"o/c unless detailed otherwise.Proper attachment and positioning of lateral bracing is required to achieve member stability. Bearing Loads to Supports(Ibs) I Supports Elinor Total Available Required Dead Snow Tote! Accessories Uve 1-Stud wall-SPF 5.50" 4.00" 4.02" 4854 1856 7224 13934 1 1/2"Rim Board 2-Column-SPF 4.00" 4.00" 2.27" 4598 1834 6909 1 13341 Bbcidn9 •Rim Board is assumed to carry all bads applied directly above It bypassing the member being designed. •Blocidng Panels are assumed bo carry no bads applied directly above them and the full load is applied to the mendier being designed. Tributary Dead Floor Live snow Loads Location width (0.90) (1"00) (1;.15) Comments -U-`--•m(PSF) 0 to 20'6" 12' 14.4 40.0 @tasting roof load 2-Ur'ann(PSF) 0 to 20'6" 4' 13.4 40.0 new roof load 3-Uniform(PLF) 0 b 20'6" N/A 80.0 - - dead toad from wall hove 4-Uniform(PSF) 0 to 20'6" 6' 12.0 30.0 - 2nd floor load 5-Point(lb) 8' N/A 901 - 1013 B nt bad from beam Weyerhaeuser Notes bZ SUSTAINABI-E FORESTRY NITIATIVF Weyerhaeuser warrants that the sizing of its products will be in accordance with Weyerhaeuser product design criteria and published design values. �t Weyerhaeuser e>pressly disclaims arty other warranties related to the software.Refer to current Weyerhaeuser literature for installation details. (www.woodbywy.com)Accessories(Rim Board,Blocldng Panels and Squash Blocks)are not designed by Otis software.Use of this software is not intended to circumvent the creed for a design professional as determined by the authority having jurisdiction.The designer of record,builder or framer is responsible m assure that this calculation is compatible with the overall project.Products manufactured at Weyerhaeuser facilitles are third-party certified to sustainable forestry standards. The product application,input design bads,dimensions and support information have been provided by Ed Rk" -- ---- — ----- -- carte Software Operator .lob Notes - i�t "."L4 1G/21.7 R -._... -- - - — - ---_--. to,4 F ^Ine v, &: i e : or' .6,Design n , Page "..� Fjf�—.7,7` 10- 7 FORT Sampson.4te RE77 01:Level Member Name Results Current Solution Comments Drop Beam"B" Passed 3 Piece(s)2 x 10 Spruce-Pine-Fir No.1/No.2 Push Beam"N' Passed 4 Piece(s)1 3/4-x 20-2.0E Kcroflang LVL Forte Software Operator Job Notes Of 2 i 2 0 14 8:10 S i AIV .............. Forte v4.6.Design Emime�V6 1 1.5, S osor,Ate pm -.narnp, --V1A PaqO 1 0' 1 17 G!I_ 117-c-1. t,4-/ - .7tt7, I � i r� 7 i O'R 00 UJ ri _. f � k 1 f t l , r)} 1 f - I t , r�-�,-;�tt? -�• r�•�,:t'r7���' rr � �---•• ?3'0'>Z�/� zN7Tl' � t, a S 3 o 7 77,Jmw-;/t d �, a N &` —� 2— x 10 0o s 1 ?f o _ r r r ! r Ile, C(JO-4et l—Dx SiH.6�e 2-,Y deTexaz &W -J-�j t"J 32- E /�/Cdr✓i s� `��7.e&�, � i ® _ i - '�� 7 ►r o io fr I G I aLaA ' i �(" I l 1 Z,rU ,: 3'l�+r..r✓ ' fr.ii,t it j I / t I cal rn f ! 1 � p !� � t City of Northampton 212 Main Street, Northampton, MA 01 060 Solid Waste Disposal Affidavit In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the building permit all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c 111 , S 150A. Address of the work: 2$4 ,$ zt, The debris will be transported by: _�� (►;. The debris will be received by: Building permit number: Name of Permit Applicant /�a7 o Date Signature of Permit Applicant City of Northampton 1 4S r k Massachusetts '•' 'r DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building �v` ti1 Northampton, MA 01060 tsst S�l~� INSPECTOR Louis Hasbrouck Chuck Miller Building Commissioner Assistant Commissioner HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of M sachusetts allows the homeowner the right under 780CMR 8.3.4 to act as his/her construction supe or. The state defines "Homeowner" as, " Person(s) w o owns a parcel on which he/she resides or inte %arm, a one or two family dwelling, attached r detached structures accessory to such use structures. A person who construct more than one home in a two- year period shall not be ered a home owner." The building department for the Cit f Northampton wa/any on(s) who seek to use the home owner exemption, to act as their own c struction supeaware that by doing so you become responsible for compliance wit tate buildnd regulations. The inspection process requires that the building department b ailed ork at various stages, which include foundation/footin s before backfill sonotube le ur a rough building inspection before work is concealed insulation inspection a uired and a final building inspection. The building department requires these inspections efore e work is concealed, failure to secure these inspections can result in failure to obtai a certific a of occupancV until the work can be inspected. If the homeowner hires other trades to perfor work (electrical, pi bing & gas) the homeowner will be responsible to make sure that the trades hir d secure their proper pe its in conjunction to the building permit issued, and that they get their re uired inspections. Failure o he individual trades to secure the permits and inspections as require can DELAY the project until such e as the proper permits and inspections are made 1, understand the ab e. (Home owner/resident's gnature requesting exemption) I will call to schedule all requ' ed building inspections necessary for the building permit iss d to me. Date Address of work 7/ion The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): �. Address: 62 City/State/Zip: 0/0?6 Phone #: q13-67,5 -70S'7 Are you an employer? Check the ropriate box: Type of roject(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and 1 6 New construction employees (full and/or part-time).* have hired the sub-contractors 2.VI am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g. ❑ Demolition working for me in any capacity. employees and have workers' g ❑ Building addition [No workers' comp. insurance comp.insurance. required.] 5. ❑ We are:a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. tHo meowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under thepains andpenalties ofperjury that the information provided above is true and correct. Si atur Date: to Z6 a! Phone# y/3 .✓—7 S Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Phone#: Contact Person: SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable £ Name of License Holder: :&Z51? License Number 10. 62 00 196 Address E irati n Date 5//3- 675-MS? Signature Telephone 9.Registered Home Improvement Contractor ..., Not Applicable £ Company Name el Registration Number 6 62 O 4 5 3/2x/6 Address Expir6tiofi Date Telephone y/3-695 7057 SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152,§25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes....... No...... £ 11.=Hom Owner Egem tion' The current exemption "homeowners"was extended to include Owner-occupied Dwellinss of one(1) or o(2)families and to allow such homeowne engage an individual for hire who does not possess a license, rovided t the owner acts as supervisor.CMR 780 Sixth ition Section 108.3.5.1. Definition of Homeowner:Person(s) own a parcel of land on which he/she resides or int s to reside,on which there is,or is intended to be,a one or two family d ng,attached or detached structures acce ry to such use and/or farm structures. A person who constructs more than o ome in a two-year period s not be considered a homeowner. Such"homeowner"shall submit to the Building Official, a form acceptable e Building Official,that he/she shall be responsible for all such work performed under the buildihe permi t. As acting Construction Supervisor your presence on the job si wi e required from time to time,during and upon completion of the work for which this permit is issued. Also be advised that with reference to Chapter 152(Worke Compens n) and Chapter 153 (Liability of Employers to Employees for injuries not resulting in Death)of the sachusetts General s Annotated,you may be liable for person(s) you hire to perform work for you under this pe The undersigned"homeowner"certifies an ��ses responsibility for compliance with tate Building Code,City of Northampton Ordinances,State and Lo ZLaws and State of Massachusetts General La Annotated. Homeowner Signature, SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition Ff Replacement Windows Alteration(s) Roofing Or Doors 0 Accessory Bldg. ❑ Demolition ❑ New Signs [❑] Decks [p Siding [❑] Other[❑] Brief Description o�Proposed I p �d n�a Work: � a � grate. ,—r _Jlc.cn� Alteration of existing bedroom Yes No Adding new bedroom Yes _�No Attached Narrative Renovating unfinished basement Yes I/ No Plans Attached Roll -Sheet 6a."If New'houlse'and''or addition to existing housing, complete the following;: a. Use of building : One Family to/ Two Family Other b. Number of rooms in each family unit: Number of Bathrooms 1 c. Is there a garage attached? 274f d. Proposed Square footage of new construction. IU Dimensions 229 8 13 22 X 8 e. Number of stories? f. Method of.heating? Fireplaces or Woodstoves�_Number of each g. Energy Conservation Compliance. 1AA Masscheck Energy Compliance form attached? h. Type of construction 5 Q i. Is construction within 100 ft. of wetlands? Yes _L./ No. Is construction within 100 yr. floodplain Yes yINo j. Depth of basement or cellar floor below finished grade k. Will building conform to the Building and Zoning regulations? ✓ Yes No . I. Septic Tank I/ City Sewer Private well_Lol' City water Supply SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I x /11 (� ,� / d �-- as Owner of the subject property hereby authorize to act on my behalf, 0 al�tters r tive t ork authorized by this building permit application. Signature of Owner c Date I as Owner/Authorized Agent hereb clare that th atements and information on the foregoing application are true and accurate,to the best of my knowledge and belief. Signed under the pains and penalties of perjury. eP w,4)C,0 0<1467' - Print Name 26 20� Date Signature of 0 r/Agent ^ . Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning � This column to be filled in by Building Department Lot Size Setbacks Front i. Rear =J Building Height r Open Space Footage % (Lot area minus bldg&paved #of Parking Spaces L= A. Has a Special Permit/Variarce/Fi nding ever been issued for/on the site? �� �� NO \�/ DON7KNO\Y �� YES �� |F YES, date ioued] > IF YES: Was the permit recorded at the Registry ofDeeds? NO DONTKNOYY 0 YES 0 IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water orwetlands? NO o DON7 KNOW 0 YES 0 .3 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained \_y�~\ Obtained «—� Issued: Date�~� ' ' C. Do any signs exist on the property? YES NO IF YES, describe size, type and location: ^~°°� D. Are there any proposed changes tnoraddi�onsnf signs intended for the prope�y? YES K � NO (�� IF YES, describe size, type and location: ' . E. Will the construction activity disturb(clearing, grading oUon. orfi|Ung)over 1 acre orisd part ofa common plan ' that will disturb over 1acre? YES NO e IF YES,then a Northampton Storm Water Management Permit from the DPW is required. ^ '- r� ri i�t DepartRlerit use only �—' ity of Northampton Status ofPermrt WEx a �' i uilding Department Gtrri�GuT/Driveway Petmtt 4 E ' . r OCT 2 9 2014 212 Main Street Seyver/SepticAvairabEltty { Room 100 Water.'/We1lAvatlablltty° Electric, Plumbing&Gas InspectiW hampton, MA 01060 Twa Sits ofS€ructural Plans North mpton. MA 1060 587-1240 Fax 413-587-1272 Plot/Site_plans. ,. Otfier'Spectfy APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE.INFORMATION 1.1 Property Address: This section fo be completed byoffice Zone Overlay Drstrrct � � r = Elm St;Dtstnct := SECTION 2. PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Name(Print) Current Current Mailing A ess: A of+ � Telephone Signature 2.2 Authorized Agent: t�.luern.eG -.n- I P 60* 62 2 - 0/on, Name(Print) Current Mailing Address: Y/3- 69.5-?059 Signatur Telephone SE ON 3-ESTIMATED CONSTRUCTION COSTS. Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building Oo (a) Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) 5. Fire Protection 6. Total=(1 +2+3+4+5) Check Number This Section For Official Use Only Date Building Permit Number: Issued: Signature: Building Comm issioner/Inspector'of Buildings Date File#BP-2015-0502 /\ APPLICANT/CONTACT PERSON EDWARD RICKEY �` �C ADDRESS/PHONE P O BOX 62 WILLIAMSBURG (413)695-70596P1 lNJ PROPERTY LOCATION 284 SYLVESTER RD t MAP 28 PARCEL 011 001 ZONE THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid t50 IVAL- UM Typeof Construction: CONSTRUCT 432 SO FT ADDITION(EXPAND MSTR BDRM/LIV RM) New Construction Cr A A tz Non Structural interior renovations Addition to Existing, Accessory Structure Building Plans Included: Owner/Statement or License 96159 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON IN ORMATION PRESENTED: V/­ Approved Additional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND/OR Special Permit With Site Plan Major Project: Site Plan AND/OR Special Permit With Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § Finding Special Permit Variance* Received&Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Commission Permit DPW Storm Water Management emo ition Delay &_ ure of Buil m Official Date Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain all required permits from Board of Health,Conservation Commission,Department of public works and other applicable permit granting authorities. * Variances are granted only to those applicants who meet the strict standards of MGL 40A. Contact Office of Planning&Development for more information. 284 SYLVESTER RD BP-2015-0502 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 28-011 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: ADDITION BUILDING PERMIT Permit# BP-2015-0502 Project# JS-2015-000943 Est. Cost: $20000.00 Fee: $216.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Groin EDWARD RICKEY 96159 Lot Size(sq. ft.): 79279.20 Owner: SAMSON MICHAEL R zonine: Applicant: EDWARD RICKEY AT: 284 SYLVESTER RD Applicant Address: Phone: Insurance: P O BOX 62 (413) 695-7059 WILLIAMSBURGMA01096 ISSUED ON:111712014 0:00:00 TO PERFORM THE FOLLOWING WORK.CONSTRUCT 432 SQ FT ADDITION (EXPAND MSTR BDRM/LIV RM) POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Signature: FeeType: Date Paid: Amount: Building 11/7/2014 0:00:00 $216.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner